My medical skills add experience

Chapter 326 Everyone has a different way of living, what to be afraid of, Dr. Zhou panicked
After seeing so many café-au-lait spots on the patient, Zhou Can was basically diagnosed.

This disease can actually be detected by an eye examination.

The ophthalmologist can see the miliary brown-yellow nodules of the iris through the split gland lamp.

Zhou Can picked up the patient's B-ultrasound examination sheet again, and a subcutaneous mass could be seen.

Multiple neuromas appear in the peripheral nerves of the diseased lesion.

Left untreated, it can spread further.

This is also the main reason for the involvement of the adjacent fingers and subsequent lesions.

There is currently no specific drug for the treatment of neurofibroma macrodactyly.The best way is to do surgery, supplemented by some drug treatment.The main treatment idea is to ensure the quality of life of patients and reduce tumor recurrence.

And try to reduce complications.

There is no cure for this disease yet.

Zhou Can's treatment ideas are very clear. Considering the patient's family difficulties, the child's father died in a car accident, the child's grandmother is a sanitation worker, and the mother works outside to earn money.

Try to save treatment costs for this family and reduce recurrence.

Of course, the first task is to ensure the patient's hand function recovery as much as possible.The child is still so young, as soon as he takes out his right hand, he immediately looks like a monster, which will cause great harm to the child's heart.

He will naturally be excluded and isolated by other students at school.

Through surgery, helping the child restore the right hand to its normal appearance and normal function is the current primary treatment goal.

After communicating with the child's grandmother, arrange for the child to be hospitalized for surgery.

Surgical treatment includes soft tissue reduction, epiphyseal fusion, bone tissue reduction, amputation of a part of the finger, carpal tunnel decompression... It seems that the treated part is only two fingers, but it is far more complicated than imagined.

Moreover, the technical requirements for doctors are quite high.

There is no need to worry about this.

Tuya's surgical prowess is among the best in the province, and there are many teams capable of performing this level of surgery.

Near eleven o'clock in the morning, the little boy who had a fever for more than two years, chest pain, and hadn't eaten for two days came back from his blood routine and B-ultrasound.

After the child's mother passed the test result to Zhou Can, she checked it frequently with her mobile phone.

Those who didn't know thought she was in a hurry to go to work.

Zhou Can was furious when he saw it. The child's father is a bad gambler, and being a mother is not a good thing.

The child only eats two meals a day. If the mother is a little more responsible, it will not be like this.

"The blood test results showed that the total number of white blood cells and the proportion of neutrophils in the patient were significantly increased, and there were symptoms of anemia. The hemoglobin decreased." Zhou Can frowned slightly after checking the blood picture.

Long-term fever and an increase in the total number of white blood cells, these two together, in most cases, indicate that inflammation and virus invasion have occurred in the patient's body.

The patient also has symptoms of long-term chest pain, and the painful part is actually located in the upper abdomen, which belongs to the area where the liver is located.

Zhou Can couldn't help being surprised after checking the B-ultrasound results.

"Your child probably has an abscess or a tumor in the liver! And it's very serious!"

No wonder the child always complains of chest pain.

The liquid dark area in the liver area is very large. Zhou Can judged that the possibility of a liver tumor is relatively small, and a liver abscess is likely to have occurred.

The size and scope of B-ultrasound diagnosis of abscess are quite accurate.

These parents really make people want to take off their shoes and slap them.

If the child was sent for diagnosis and treatment when he first had a fever, it would not be so serious.

"I know it's serious. Doctor, how do you treat it?"

The woman has a nonchalant expression.

Maybe Zhou Can thought he was deliberately scaring her.

"It is recommended to do a liver puncture first, and take out some pus samples for further testing. After the specific cause is confirmed, further treatment will be carried out."

Zhou Can gave advice on diagnosis and treatment.

Now it is only a preliminary suspicion that there is an abscess in the liver, but it cannot be confirmed.

I don't even know what the disease is.

"Hasn't everything been found out? You still need to be checked! You have also seen the attitude of the child's father. It is impossible for him to spend a lot of money for the child's treatment."

When the woman heard this, she immediately became unhappy.

I don't know if she really doesn't care about the child's life, or if she doesn't realize how serious her son's condition is.

"The child's father doesn't want to spend money to treat it, and you are also the parent of the child, so you can treat it!"

Zhou Can said to the woman.

The child looked at his mother pitifully.

"I have no money at all, how can I treat him!"

She felt the child's gaze, and seemed to have finally discovered her conscience.

The attitude is somewhat more sincere.

"Aren't you working?"

Zhou Can asked curiously.

"No! My child's father and I play cards and mahjong every day. If we win money, we order two takeaways. When we have no money, we order noodles at home."

The woman's answer really refreshed Zhou Can's three views.

Someone can live like this.

"Then both of you don't work, and you don't have any savings. What if you encounter a big event that costs money? Just like right now, your son's condition is so serious that the treatment will cost at least [-] yuan. If there is no money for treatment, Don't you delay the child?"

Zhou Can may come into contact with positive people in this society on a daily basis.

His colleague, friend, or at least a doctor or nurse, has a serious job.The income is stable and the social status is not bad.His parents, as well as Li Luo, Mr. Cui, and his girlfriend Su Qianqian, these people already belonged to the middle and upper class of society, a proper elite class.

To say that the bottom of the society he came into contact with were basically patients.

Just like the old sanitation lady who brought her grandson to treat macrodactyly, and the young father who brought his child to treat hand deformity, both belong to the bottom of society.But even if they are at the bottom of society, they are still working hard and don't want to rot at the bottom.

This pair of gamblers, sleeping on the poker table every day, not working, I can't imagine.

The most pitiful thing is their children.

"What did you say? My son's treatment costs more than [-] yuan?"

The woman seemed intimidated by the high cost of treatment.

1 yuan, for some people, may only be half a month or a month's salary, but for people like them who make a living from gambling, it is already a huge sum of money.

"At least 1 yuan is needed. If the child is brought to see a doctor when he is just sick, maybe 3000 yuan can be cured."

Zhou Can said seriously.

"I'll call his dad first."

The woman's mobile phone doesn't seem to be bad, at least two or three thousand yuan is definitely needed.

People, different people have different ways of living.For a person like her, the typical life is one day.

"Hey, husband, the doctor said that our son's medical treatment costs at least 1 yuan, what should we do?"

"I'm playing cards! It's not worth [-] if you sell me, just figure it out!"

"I have no money!"

"You don't have money, do I have money? It cost me one hundred and two to check up that prodigal son in the morning, and I have to win it back. That's it, hang up first."

"Hey, hey..."

The woman looked dejectedly at the mobile phone that had ended the call.

"Doctor, you have also seen the attitude of the child's father. I said he would not care about it. I still have more than 300 yuan on me. Why don't you get some medicine! I will take the child home for treatment."

At least this mother is still like a human being at the moment, able to spend all the money on her body to buy medicine for her child.

It's just that the child's condition is already so serious that he will definitely need puncture and drainage, or even surgical incision of the abscess, and then medication. 300 yuan is probably not even a fraction.

Zhou Can looked embarrassed.

"Your son's condition can no longer be solved simply by taking medicine, and requires puncture and drainage. And the cause of the disease is not yet clear, and there is no way to prescribe medicine. Also, his illness cannot be delayed any longer, otherwise his life will be in danger."

Zhou Can could only do the ideological work of his family members earnestly.

"It's 1 yuan, where can I get so much money!" The woman looked helpless.

"As a mother, you can't ignore your child's serious illness, right? Ask your relatives and friends to borrow money to save your son's life first. After your son's illness is cured, you can find a job and earn money to pay off the debt. Once you give birth to a child, you must be responsible for him. Even the law clearly stipulates that parents have the obligation to raise their children to adulthood."

Zhou Can had no choice but to help the girl.

In any case, the most important thing is to save the child's life first.

"Okay then, I'll call and borrow it to try."

The woman went out with the child.

Seeing her attitude, Zhou Can was still a little worried.

It's unimaginable that for the treatment fee of 1 yuan, parents can cruelly ignore their children's life or death.

This matter was beyond Zhou Can's handling experience, and he felt it was necessary to report it.

Seeing that the child is still so young, he couldn't bear it even more.

This is a life!
Director Tang Fei was called on the spot. She is the head of the Pediatrics Department. It must be right to report this matter to her.

The call was quickly connected.

"Hi Director Tang, I'm Zhou Can!"

"Hello, hello! Doctor Zhou's first day of consultation, has something happened?"

Director Tang Fei's voice was very gentle, slightly deep, but also very steady.

"That's right, I received a patient..." Zhou Can briefly reported what happened.

"It's useless to call the police in this situation. You give me the patient's address and the identity information of the father or mother. When the time comes, we will directly contact the local women's federation and the street office, and they will come forward to solve the problem."

Tang Fei's handling experience is much richer than his.

Parents are the first guardians of the child. If the parents refuse to treat the child, the doctor will usually do the ideological work of the child's grandparents.If it still doesn't work, you can contact the sub-district office, the Women's Federation and other organizations to mediate.Use social forces to help children successfully seek medical treatment.

It is definitely unrealistic for the hospital or the doctor to pay the money.

Doctors also have their own families to support and their ability is limited.Even for Zhou Can, a rich man with tens of millions of dollars, if he has a lot of sympathy, he will pay for the treatment of patients who are slightly difficult.Within a year, he would be a pauper.

There's no way he's doing such a stupid thing.

At this time, the door of the consulting room was pushed open, and another patient came back from the examination.

"I have another patient here, so let's do this first!" Zhou Can said to Tang Fei.

"Well, go ahead! If the child's parents don't give him treatment, just send me the name, phone number, and address of the patient and his family members, and I'll handle it."

After she told her, she hung up the phone.

Zhou Can put away his mobile phone and looked up at his family members.

It was the grandmother who brought her granddaughter to see a doctor.

"Doctor Zhou, we have finished the examination, please take the trouble to see the results."

After receiving the checklist, Zhou Can signaled the patient and his family members to sit down and rest.The eight-year-old girl certainly didn't have a cold.

As for what the disease is, it has to be diagnosed and analyzed step by step.

One thing is certain, the little girl's illness must be intractable.

Check her blood first.

The white blood cell count was 1.7×10 to the 9th power/L, which was significantly lower than the normal value.

白细胞计数正常值，成人（4~10）×10/L，儿童（5~12）×10/L。

This little girl is only 8 years old this year and belongs to children.

It stands to reason that her white blood cell count must be above 5×10 to the 9th power to be considered normal.

Now only 1.7 is left, which is already very low.

Her neutrophil ratio and lymphocyte ratio were slightly lower than normal, which is still normal.

However, when Zhou Can glanced over the platelet column, he found that only 37.5×10 to the ninth power/L remained.

This is significantly lower than normal.

At the same time, the white blood cells and platelets are greatly reduced, which must be a serious illness.It's definitely not a cold.

Zhou Can was even more sure of his preliminary inference.

What kind of disease could it be?
He also asked the patient to do a urine routine.

A look at the results, urine protein 4 +.

The girl's grandmother watched the young doctor's face change every time he looked at an examination report, and her heart was constantly suspended.

"Doctor Zhou, what disease does my granddaughter have? Is it serious?"

she asked anxiously.

"Judging from the current examination results, I can be sure that she didn't have a cold. Her white blood cells and platelets were all far below the normal value, and the urine test results were also very bad, with 4+ urine protein."

Zhou Can originally wanted to say that it was probably a serious illness.

Seeing that the old lady's face had turned pale, he didn't dare to speak any more.

If the little girl's illness has not been diagnosed and a family member is frightened into a problem, then it will really be a problem.

Many retired people work in offices.

Their bodies are prone to a variety of basic diseases, and when they get older, they can't stand the storm.

People with high blood pressure and heart disease are all afraid of being stimulated.

"Doctor Zhou, I beg you to save my granddaughter! Her parents are not around, so she is entrusted to me to take care of her. If something goes wrong, what should I do?"

The old lady is very smart, even if Zhou Can didn't say any more, she still guessed that the result might be bad.

"Don't worry, don't worry, we will definitely go all out to treat her when we arrive here. Now we only have blood and urine routine tests, and some indicators are obviously abnormal, but there is no way to diagnose what the disease is. You may also need to cooperate with some biochemical inspection items."

Zhou Can noticed that the old lady had trembling hands, took out a pack of tissues from her bag, and wiped the sweat from her forehead.

Moreover, the old lady's face became paler and paler, and she looked very scary.

I'm afraid that this old man has something to do, and he won't be able to tell at the time!
"Yes, we will definitely cooperate with the doctor to do the examination. Does the biochemical examination need to take a film?"

"There is no need to take a film. Just collect blood and other specimens and send them to the laboratory for tests on specific items, such as lactate dehydrogenase and aspartate aminotransferase. Are you feeling well?"

Zhou Can asked with concern.

At this moment, he was very eager to have a nurse by his side.

In case the old lady faints in the consulting room, I can't tell!

"I just feel a little weak all over, my head hurts a little, and my chest feels like a stone is pressed, it's very stuffy!" She already needs to support the table with her hands, which shows that her physical condition is very bad.

Chest tightness, especially after the old man was stimulated, immediately made Zhou Can highly vigilant.

Today is really unlucky, the more I am afraid of something, the more I will come.

Before myocardial infarction and various heart attacks, symptoms of chest tightness and dyspnea will appear.

The old man also has headache symptoms, and if high blood pressure comes along with it, it will be even worse.

"You don't have heart disease or high blood pressure, do you?"

Zhou Can asked nervously.

"I have high blood pressure. One, I have been taking medicine and my blood pressure is well controlled. I, I seem to be really uncomfortable. The figure in front of me is shaking..."

As the old lady talked, she lay down on the table and opened her mouth to breathe heavily.

"Grandma, grandma... woo..." When the little girl saw that her grandma was sick, she was so frightened that she burst into tears on the spot.

Zhou Can quickly stood up, opened the door of the consulting room, and shouted to the guiding nurse outside, "A family member of mine may have been stimulated and fainted suddenly. You hurry up and call other doctors and nurses to come and help rescue people."

"Ah... I'll call someone right away!"

When the guiding nurse heard this situation, she was a little panicked.

Zhou Can returned to the consulting room and hurriedly checked the old lady's body.

First make sure that the old lady's airway is not blocked, and then measure her blood pressure.

Very strange, normal blood pressure, tachycardia, the same symptoms as a little girl.

She said that she had no heart disease and her blood pressure was not high, so it was definitely not a hypertensive attack.

(End of this chapter)